Fibrillary glomerulonephritis: lessons from anti-CD20 therapy and repeat biopsy

The present study confirms that FGN is primarily a B-cell-driven disease and provides evidence that FGN can be effectively managed by achieving a profound depletion of CD20+ B lymphocytes; the disease is highly progressive and probably requires prolonged maintenance treatment; and, last, early diagnosis is critical for long-term outcome because a significant glomerular sclerosis at the time of the first biopsy precludes the possibility of reversing or stabilizing the course of the disease.

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Publication Details

Journal
Nephrology Dialysis Transplantation
Published
2025-06-24
DOI
https://doi.org/10.1093/ndt/gfaf109
Primary Topic
Amyloidosis: Diagnosis, Treatment, Outcomes
Type
article
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article

Fibrillary glomerulonephritis: lessons from anti-CD20 therapy and repeat biopsy

Dario Roccatello, Savino Sciascia, Simone Cortazzi, Emanuele De Simone et al.
Nephrology Dialysis Transplantation
Amyloidosis: Diagnosis, Treatment, Outcomes
article

Fibrillary glomerulonephritis: lessons from anti-CD20 therapy and repeat biopsy

Dario Roccatello, Savino Sciascia, Simone Cortazzi, Emanuele De Simone, Antonella Barreca, Giulio Del Vecchio, Roberta Fenoglio, Rossana Giachino
article en

Abstract

The present study confirms that FGN is primarily a B-cell-driven disease and provides evidence that FGN can be effectively managed by achieving a profound depletion of CD20+ B lymphocytes; the disease is highly progressive and probably requires prolonged maintenance treatment; and, last, early diagnosis is critical for long-term outcome because a significant glomerular sclerosis at the time of the first biopsy precludes the possibility of reversing or stabilizing the course of the disease.

Nephrology Dialysis TransplantationVol. 40(12)
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT), Ospedale San Giovanni Bosco (IT), University of Turin (IT)
Good health and well-being
Openalex Percentile: Top 87%
Amyloidosis: Diagnosis, Treatment, Outcomes
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Fibrillary glomerulonephritis: lessons from anti-CD20 therapy and repeat biopsy — Dario Roccatello, Savino Sciascia, et al. · Nephrology Dialysis Transplantation (2025) | TGRS Research Map | TGRS